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NOTICE OF LIEN CIEkR ;;~iT COtIAt ~ Ic C•
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STATE OF' FLORIDA ~ i0 ~ 21 AH'7S
COUNTY OF ST. LUCIE ~v~~1$
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County,_Florida, claims a lien in the
amount of TWO Hundred ~'ighty-eight and 64/100
288.64 ) Dollars against any real or personal property •
or interest therein presently held or after acquired by
Wilford Forgues of 811 Avenue C, Fort Pierce, Florida
(Indigent or Recipient) (Address)
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for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indignet or Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 11/28~74
Date Discharged.: 12/2/74
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~ Number of Days: 4 at $ 72.16 per day = $ 268.64 ~
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Less Credits None
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~ Amount of Lien $ 288.64
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~ Dated at Fort Pierce, Florida, this day of
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~ March ~ lg 75
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~ (Signat re)
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- County Attorney
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- SWORN to and subscribed before me
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= this o~ day of .~~n 2z ~ , 19 7,l .
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rt Notary Public State of Florida a Large ~ _
My Commission Expires f- 70 . -
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